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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLARENCE LEE MIDDLETON, RPH

Active Sole Proprietor

MR. CLARENCE LEE MIDDLETON, RPH is a Pharmacy healthcare provider located in ELLISVILLE, Mississippi. NPI 1043749070 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · ELLISVILLE, MS

Registration Details

NPI Number
1043749070
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2017 (9.1690565730279 yrs)
Last Updated
Jun 4, 2017
License
T-13037 (MS)
Sole Proprietor
Yes

Practice Information

Address
122 S FRONT ST
ELLISVILLE, MS, 394373118
Browse MS providers · Browse ZIP 39437
Phone
6014778587
Primary Specialty
Pharmacy
333600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.